by Proactive LTC Consulting | Nov 19, 2025 | Documentation, MDS, Medicaid, Nursing, PDPM, Quality, Regulatory, Reimbursement
Medicaid Case Mix Index Under PDPM: What LTC Facilities Need to Know As of October 1, 2025, the nationwide transition away from RUG-based Medicaid systems marks a major shift for long-term care. With more states moving to PDPM-based methodologies—and many... by Proactive LTC Consulting | Nov 12, 2025 | CAA, Care Planning, Compliance, MDS, Nursing, Person Centered Care, Quality
Q: How are residents and their families involved in the CAA process? A: The Care Area Assessment (CAA) process is the foundation for developing each residents individualized care plan. The information gathered during CAAs helps the interdisciplinary team... by Proactive LTC Consulting | Oct 29, 2025 | 5-Star, MDS, Nursing, Pressure Ulcers, Quality, Quality Measure
Q: I have a resident with an in-house acquired Stage 2 pressure injury. He went out to the hospital for three days and upon return, it was documented as Stage 4. How should this be coded on the MDS? A: The RAI User’s Manual (v1.18.11, effective Oct. 1, 2025)... by Proactive LTC Consulting | Oct 29, 2025 | Compliance, Falls, Legal, MDS, Quality, Quality Measure, Regulatory, SNF
Unreported Falls in Nursing Homes: OIG Study Findings In September 2025, the U.S. Department of Health and Human Services Office of Inspector General (OIG) released a concerning report related to a study with findings indicating that falls with major injury were... by Proactive LTC Consulting | Oct 15, 2025 | Care Planning, Compliance, MDS, Medicaid, Medicare, PDPM, Quality, Quality Measure, Reimbursement, Survey
Q: Your MDS Coordinator could come to you at any time needing an emergency medical leave, giving notice, or simply deciding that the role is no longer a good fit. What potential challenges could arise if you don’t have an experienced person to fill the position, and... by Proactive LTC Consulting | Oct 1, 2025 | Coding, Compliance, Depression, MDS, Medicaid, Medicare, Nursing, PDPM, Reimbursement
Q: I have recently been directed, when completing the PHQ-2 to 9, that if a resident acknowledges a symptom, but is unable to give a frequency, I should dash both questions (column 1 and 2). Is this correct? A: No, this is incorrect. If a resident answers “yes”...